There is one original study (1) and one systematic review (2) that
show that diagnostic errors have decreased over time. This is not to say
that the validity of an autopsy has decreased over time. Necropsy is the
basis of the diagnostic quality control.
1. Sonderegger-Iseli K, Burger S, Muntwyler J, Salomon F. Diagnostic
errors in three medical eras: a necropsy study. Lancet 2000: 355;2027-31
2. Shojania KG, Burton EC, McDonald KM, Goldman L. Changes in rates
of autopsy-detected diagnostic errors over time: a systematic review. JAMA
2003;289:2849-56
Competing interests:
None declared